Impact of a Multidimensional Intervention in Elderly Patients With Pneumonia

Not Applicable

Completed

• Conditions: Healthcare-associated Pneumonia; Community-acquired Pneumonia
• Interventions: Other: Multidimensional intervention

• Registration Number: NCT01285869
• Lead Sponsor: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Brief Summary

The hypothesis of this study is that long-term outcome in elderly patients admitted with the diagnosis of community-acquired pneumonia (CAP) or healthcare-associated pneumonia (HCAP) would improve with a multidimensional intervention including assessment of co-morbidities, nutritional, functional and cognitive status and immunization.

Detailed Description

Detailed description published in "Revista Española de Geriatría y Gerontología" (see citation and link)

Study Timeline

• Study Start: 2010-11
• Study First Submitted: 2011-01-27
• Study First Submitted QC: 2011-01-27
• Study First Posted: 2011-01-28
• Primary Completion: 2018-06
• Study Completion: 2018-12
• Status Verified: 2019-02
• Last Update Submitted: 2019-02-24
• Last Update Posted: 2019-02-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 314

Inclusion Criteria

• Elderly patients (aged 65 years and over), of either sex, not dependent for basic activities of daily living (Barthel index ≥60 points).
• Diagnosed with community-acquired pneumonia at the Emergency Department or Day Hospitals at "Hospital de la Santa Creu I Santa Pau"
• Admitted to hospital.

Exclusion Criteria

• Derived from other acute care hospitals.
• Patients with HIV infection.
• Neutrophil counter<1000/mm3
• Transplanted patients.
• Barthel index<60 points.
• Terminal disease.
• No signed informed consent.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Multidisciplinar intervention	Multidimensional intervention	Patients that will receive the multidimensional intervention during the ambulatory follow-up.

Primary Outcome Measures

Name	Time	Method
Healthcare resources utilization (readmissions and consultations to hospital and emergency department).	1 year after hospital admission for pneumonia	To achieve the variables related to the healthcare resource utilization, computarized medical records will be reviewed and all patients will be followed up by telephone interview one year after discharge.The cause for readmission will be recorded.

Secondary Outcome Measures

Name	Time	Method
Functional status	1 year after hospital admission for pneumonia	Data will be obtained by review of medical records and telephone interview one year after discharge.; Dependency in basic activities of daily living will be scored using the Barthel Index (Mahoney \& Barthel. Maryland State Med J 14; 61-65) which measures the capacity to perform ten basic activities and gives a quantitative estimation of the patient level of dependency, scoring to 0 (totally dependent) to 100 (totally independent).
Institutionalization	1 year after hospital admission for pneumonia	Data will be obtained by review of medical records and telephone interview one year after discharge.
Survival	1 year after hospital admission for pneumonia	Data will be obtained by review of medical records and telephone interview to patient or relatives one year after discharge.

Trial Locations

Locations (1)

Hospital de la Santa Creu i Sant Pau; 🇪🇸 Barcelona, Spain